Teaching An Alcohol Intervention To Pediatric ER Staff

描述(申请人提供)：据估计，在美国，每年饮酒的总成本为1000亿美元。在青少年中，它是受伤和死亡的主要原因。许多对成年人和一名年龄较大的青少年的研究表明，短暂的干预措施在减少饮酒和相关伤害方面具有有效性。然而，在所有这些研究中，干预措施都是由研究团队实施的，而不是在医疗环境中工作的临床工作人员。由于医疗机构不太可能专门雇佣额外的人员进行这些干预，重要的问题仍然没有得到回答。这些干预措施能否从研究环境转化为“真实世界”的临床环境？医务人员是否能够以及是否会实施此类干预？这些干预措施在由这些工作人员实施时是否有效？ 急诊科(ED)是研究这个问题的理想场所。在急诊室看到的许多患者都有很高的酒精相关问题的风险。急症室往往是这些病人唯一的健康护理来源。此外，急诊室就诊和/或受伤本身可能是其他医疗环境中找不到的独特的“可教时刻”。这样的伤害或访问可能是改变酒精相关行为的强大动机。 研究对象将是儿科急诊科的医生和护士。将评估工作人员对酒精问题治疗的当前态度、理解和做法。还将确定学习简要干预措施(BI)的潜在障碍。将制定一项教育干预措施，并对教育部门的工作人员进行教育，教他们酒精BI。干预后，教育署人员将接受酒精营养知识的重新测试，并监测他们实施BI的频率和遵守BI原则的情况。所获得的知识将用于制定未来的教育干预措施，并最终测试由医务人员实施的酒精BRS的有效性。 该提案包括一项5年培训计划，以确保顺利完成研究方案。培训建议包括：成瘾理论研讨会、期刊俱乐部、研究和拨款撰写研讨会、生物统计学、每周2-3个小时的指导、实地体验、数据分析以及手稿准备和提交。

DESCRIPTION (provided by applicant): In the United States it is estimated that the overall annual cost of alcohol use is $100 billion. In adolescents, it is a leading cause of injuries and death. Numerous studies of adults and one of older adolescents have demonstrated the efficacy of brief interventions in reducing alcohol consumption and related injuries. In all of these studies however, interventions were administered by a research team, not the clinical staff who worked in the medical settings. As medical institutions are unlikely to hire extra personnel specifically to perform these interventions, important questions remain unanswered. Can these interventions be translated from the research setting into "real world" clinical settings? Can and will medical staff administer such interventions? Are these interventions effective when administered by such staff? An Emergency Department (ED) is an ideal setting to investigate this question. Many patients seen in ED's are at high risk for alcohol related problems. The ED is often the exclusive source of health care for these patients. Additionally, an ED visit and/or an injury itself may be unique "teachable moment" not found in other medical settings. Such an injury or visit may be a powerful motivation to change alcohol related behaviors. Study subjects will be the physicians and nurses of a Pediatric ED. Staff will be assessed for current attitudes, understanding, and practices regarding treatment of alcohol problems. Potential barriers to learning brief interventions (BI) will also be identified. An educational intervention will be developed and administered to ED staff, to teach them an alcohol BI. Post-intervention, ED staff will be retested for their knowledge of alcohol Bl's, as well as monitored for how often they administer the BI and how well they adhere to BI principles. The knowledge gained will be used to develop future educational interventions and ultimately to test the efficacy of alcohol Brs administered by medical personnel. This proposal includes a 5 year training plan to ensure successful completion of the research protocol. The training proposal includes: seminars in addiction theory, journal club, research and grant writing seminars, biostatistics, 2-3 hours per week of mentoring, field experiences, data analysis, and manuscript preparation and submission.